A case report: rehabilitation of a child after necrosis and amputations due to meningococcal infection

Abstract

Meningococcal infection is a severe disease that can lead to widespread necrosis of the skin and soft tissues. Such damage often results in mummification of the fingers and toes, necessitating surgical interventions, including autologous skin grafting, necrosectomy, and amputations. According to international data, the risk of limb involvement and the need for amputation in meningococcemia varies depending on the severity of the infection. The incidence of such cases ranges from 10 to 30 % among patients with severe forms of the disease. In Ukraine, similar statistical data are fragmented, but cases of sepsis with tissue necrosis have been reported. Global experience demonstrates that early diagnosis, modern treatment methods, and vaccination can reduce the frequency of severe complications. However, even with successful treatment, patients often require long-term rehabilitation, including prosthetic fitting, physical therapy, and psychosocial support.